Failure to Follow Scheduled Toileting Program for Dependent Resident
Penalty
Summary
The facility failed to ensure that a scheduled toileting program was followed for a resident with mild cognitive impairment, Parkinsonism, and dementia, who was dependent on staff for toileting and hygiene. The resident's care plan specified a detailed toileting schedule, including assistance at least every two hours during awake times, at bed checks, upon rising, before and after meals, at bedtime, and whenever requested. However, interviews with the resident and her husband revealed that staff did not always provide toileting assistance when the resident requested it, instead adhering strictly to the scheduled times. Review of the resident's clinical documentation and toileting program records over several months showed no documented evidence that the scheduled toileting program was completed as outlined in the care plan. The Director of Nursing confirmed the lack of documentation supporting completion of the toileting program as scheduled. This deficiency was identified through review of facility policies, clinical records, and staff and resident interviews.